Archives of physical medicine and rehabilitation
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Arch Phys Med Rehabil · Aug 2007
Randomized Controlled TrialKinematic and clinical analyses of upper-extremity movements after constraint-induced movement therapy in patients with stroke: a randomized controlled trial.
To study the effects of constraint-induced movement therapy (CIMT) relative to traditional intervention on motor-control strategies for upper-arm reaching and motor performance at the impairment and functional levels in stroke patients. ⋯ This study is the first RCT to show differences in motor-control strategies as measured by kinematic variables after CIMT versus traditional intervention. In addition to improving motor performance at the impairment and functional levels, CIMT conferred therapeutic benefits on control strategies determined by kinematic analysis.
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Arch Phys Med Rehabil · Aug 2007
Multicenter StudyPredictability of simple clinical tests to identify shoulder pain after stroke.
To identify simple diagnostic musculoskeletal tests that can be performed early after stroke to predict patients' likelihood of reporting early signs of hemiplegic shoulder pain. ⋯ Three diagnostic clinical tests that can be performed during a bedside evaluation increase the likelihood of determining those who complain of hemiplegic shoulder pain after an acute episode of stroke.
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Arch Phys Med Rehabil · Aug 2007
Controlled Clinical TrialCircuit class therapy versus individual physiotherapy sessions during inpatient stroke rehabilitation: a controlled trial.
To compare the effectiveness of circuit class therapy and individual physiotherapy (PT) sessions in improving walking ability and functional balance for people recovering from stroke. ⋯ Circuit class therapy appeared as effective as individual PT sessions for this sample of subjects receiving inpatient rehabilitation poststroke. Favorable results for circuit classes in terms of increased walking independence and patient satisfaction suggest this model of service delivery warrants further investigation.
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Arch Phys Med Rehabil · Aug 2007
Randomized Controlled TrialLowering of sensory, motor, and pain-tolerance thresholds with burst duration using kilohertz-frequency alternating current electric stimulation.
To determine the optimum burst duration for discrimination between sensory, motor, and pain-tolerance thresholds using 50-Hz bursts of kilohertz-frequency sinusoidal alternating current (AC) applied transcutaneously to human subjects. ⋯ Short-duration kilohertz-frequency AC bursts might have a more useful role in rehabilitation than either pulsed current or the long duration bursts that characterize Russian and interferential currents. Further clinical studies are needed.
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Arch Phys Med Rehabil · Jul 2007
Factors affecting short-term rehabilitation outcomes of disabled elderly patients with proximal hip fracture.
To identify factors associated with postacute rehabilitation outcome of disabled elderly patients with proximal hip fracture. ⋯ Cognitive function, nutritional status, preinjury functional level, and depression were the most important prognostic factors associated with rehabilitation success of older patients with proximal hip fracture. Of these, depression and nutritional status are correctable, and early intervention may improve rehabilitation outcome.